Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    Your initial focus is the chief complaint. Once your assessment is complete then you will have a better idea of what the "real" problem is. The biggest problem becomes your priority. Ask every...
  2. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    russianbear - How are you
  3. Lev

    How long does it take to get a temporary Maryland RN license?

    Lev replied to guest948776's topic in Maryland Nursing

    I would start ASAP. The MBON is notoriously slow. I would make an in person visit ASAP to get
  4. Lev

    I need a SALTINE !

    Lev replied to Keepstanding's topic in School

    Would you like some gingerale with
  5. Lev

    New Grad decision: ICU vs Step down vs CCU

    Lev replied to ICURN5305's topic in MICU, SICU

    I know that it is probably easier to relate to younger staff but a lot of new grads on a unit is a red flag. The staff probably do have a lot of experience precepting, but they may be overburdened...
  6. Lev

    New Grad decision: ICU vs Step down vs CCU

    Lev replied to ICURN5305's topic in MICU, SICU

    What about unit culture? Mix of staff (seasoned vs new)? Shift? Types of patients? Did you like the manager/other staff? The longer the orientation the better, however the above factors also make a...
  7. Lev

    External Jugular Cannulation Procedure

    Lev replied to sarah.cutting's topic in Emergency

    Results of my google search: RN placement of external jugular catheters policy http://emedicine.medscape.com/article/2020439-overview 08_26_08_INS_Position_Paper.pdf External Jugular Venous Access...
  8. Lev

    New Grad decision: ICU vs Step down vs CCU

    Lev replied to ICURN5305's topic in MICU, SICU

    More info about the different units
  9. Lev

    OG Tubes after Intubation - suction

    Lev replied to Genavina's topic in Critical Care

    We automatically hook up to LIS suction before the xray and after auscultation. We go for OG but will try for NG if unable to get an OG. NGTs are harder to get in when your patient is not sitting up...
  10. Lev

    From Stepdown to Interventional Radiology

    Lev replied to StacyAtheNurse's topic in Critical Care

    Take
  11. Lev

    New Nurse IV Struggles

    Lev replied to mer015's topic in First Year After Licensure

    People in the ED tend to run for the 20g angiocath. If someone who has been stuck multiple times in triage without success comes back to me, I may go with a 22 and if that doesn't work, a 24g which is...
  12. Lev

    Split on jobs. I need insight. Public Health Position of Medsurg Floor.

    Lev replied to Kandake's topic in Job Search, Interview, Resume

    I would take the M/S job and then decide if you want to take on the public health job. If you do well on the M/S floor they will let you reduce your hours and keep working there while you work public...
  13. Lev

    Preparing for my 1st ER Job - Nurse Refresher Course in MA?

    Lev replied to echmorrill's topic in Emergency

    There are lots of skills videos on YouTube which are so helpful. EmpoweRN is great and I recently discovered an older channel by
  14. Lev

    AMA discharges

    Lev replied to jdub6's topic in General Nursing

    It depends if they have a legit reason for being in the ER or not. The ones who are agitated and wont wait for discharge instructions anyway sign the form and leave. Otherwise we will give scripts and...
  15. Lev

    Accused of med diversion, no proof

    Lev replied to sonotguilty's topic in Nurses Recovery

    Are you for real?? I mean who prescribed you 20mg of hydrocodone for tooth pain? Isn't that a little much? I smell a
  16. Lev

    What is the drug of choice in your area?

    Lev replied to Momma1RN's topic in Emergency

    Lots of heroin, etoh of course, some spice, occasional mdma/"molly" and then your hodge podge of prescription/over the counters suicide attempts - benzos, allergy meds, SSRIs etc. We've recently been...
  17. Lev

    Tips and tricks for FirstNet

    Lev replied to outlierrn's topic in Emergency

    I use FirstNet and I think it is a great charting system. Key to make it easier for you is
  18. Lev

    ER - How to stay calm

    Lev replied to Lev's topic in Emergency

    Things are way better. Been an ER nurse for almost a year and a half. I finally have a semblance of a groove. One of my coworkers actually said that I always seem relaxed. LOL I probably don't work...
  19. Lev

    Random question of the day: What's your baseline blood pressure?

    Lev replied to LDAthleteNurse's topic in Health, Stress Management

    BP 110s/70s HR 70s at baseline RR 18 Temp 97ish spo2 98-99% - has never been 100%. When I get a fever its usually low grade because baseline temp is low. At work, BP is 120s/80s, HR
  20. Lev

    RRT vs ICU transfer

    Lev replied to kflavi2's topic in Critical Care

    I think a day or two in ICU would have done him good. He is stable for now but he could crump. He needs at least step-down level
  21. Lev

    IV Rules at your Facility

    Lev replied to applesxoranges's topic in General Nursing

    A 20g+ IV in the AC, upper arm, or shoulder is required for Chest CT to rule out PE. For other CTs that need contrast any gauge well functioning (able to aspirate blood) IV can be used at my facility....
  22. Lev

    What is the drug of choice in your area?

    Lev replied to Momma1RN's topic in Emergency

    Spice actually can cause seizures. We've had a couple that ended up
  23. Lev

    After a pedi code...

    Lev replied to nevertelling's topic in Pediatric

    You can contribute to the go fund me page. I think it would be therapeutic. Please talk this
  24. Lev

    5 8 hr shift vs 2-3 12 hr shift

    Lev replied to ahrajo1458's topic in General Nursing

    I would take the 3-11 tele. Rotating shifts kill... Literally. Plus cardiac monitoring experience is helpful if you want to go into ICU. The pay difference is minimal and you can always work a 12hr...
  25. Lev

    HELP!! Which job do I take?!

    Lev replied to acunningham182's topic in General Nursing

    I would take the pediatric ER position and stay home with your parents. Even the 1hr commute is not ideal. If you don't end up liking peds you can switch to the adult